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Healthcare Order Management Specialist

2 months ago

Minneapolis, Minnesota, United States C4 Technical Services Full time
Job Overview

C4 Technical Services is seeking a Healthcare Order Management Specialist to join our team in a hybrid work environment.

Position Summary

The Healthcare Order Management Specialist is responsible for overseeing patient orders. This role involves evaluating medical documentation to ensure compliance with payer policies, processing authorization requests, and verifying patient benefits. Building strong relationships with healthcare professionals and clinic staff is essential for gathering necessary documentation to facilitate insurance claims.

Key Responsibilities
  • Ensure efficient processing of patient orders.
  • Review clinician documentation to meet payer medical policy standards.
  • Confirm patient eligibility and benefits for durable medical equipment with insurance providers.
  • Identify authorization requirements for durable medical equipment from payers.
  • Submit and track authorization requests for DME coverage with commercial payers.
  • Establish strong connections with clinicians and clinic staff to collect documentation for insurance claims.
  • Maintain accurate records of patient insurance benefits in the database.
  • Update and manage patient information and database entries meticulously.
  • Act as a liaison between C4 Technical Services, healthcare teams, and patients to ensure all necessary paperwork is collected for order fulfillment.
  • Participate in ongoing training sessions to enhance team skills.
  • Maintain departmental service levels, including turnaround times.
  • Ensure proper registration on payer portals.
  • Collaborate with team members and assist as needed.
  • Promote continuous process improvement by seeking ways to enhance efficiency.
  • Contribute to team meetings and discussions.
  • Assist in training new team members or field representatives as required.
  • Adhere to internal and external regulations, policies, and procedures relevant to the role.
  • Perform additional duties as assigned.
Preferred Experience
  • Minimum of 1 year in a medical device, customer service, or call center role.
  • Experience working with patients, clinicians, and payers is advantageous.
  • Familiarity with Filemaker or Parachute is a plus.
  • Background in outpatient DME, insurance, revenue cycle management, or customer service is preferred.
Skills and Qualifications
  • Strong attention to detail and ability to ensure data integrity.
  • Effective prioritization and workload management skills in a fast-paced environment.
  • Excellent verbal and written communication skills for professional interactions.
  • Adaptability to changing priorities and processes.
  • Team-oriented mindset with a collaborative approach.
  • Problem-solving abilities to address routine issues effectively.
  • Commitment to high-quality service for both internal and external customers.
  • Proficiency in relevant computer systems and software for order management.
  • Understanding of regulations and policies governing patient order management.
  • Professionalism in handling confidential patient information.

We invite qualified candidates to explore this opportunity with us.